FDA Adverse Event
Injury
Summary report: N
TRUMATCH CMF
MDR report key: 22461588
·
Received July 9, 2025
Report
- Report Number
- 3005718816-2025-00003
- Event Type
- Injury
- Date Received
- July 9, 2025
- Date of Event
- May 5, 2025
- Report Date
- June 17, 2025
- Manufacturer
- MATERIALISE USA, LLC.
- Product Code
- JEY
- UDI-DI
- 05420060380013
- PMA / PMN Number
- K170272
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
INVESTIGATION ONGOING; RC UNKNOWN.
Additional Manufacturer Narrative · 0
THE INVESTIGATION CONCLUDED THAT THE DEVICES DID NOT MALFUNCTION AND THERE WAS NO DETERIORATION IN THE CHARACTERISTICS OF THE PERFORMANCE, AND AS SUCH THE DEVICES MET SPECIFICATIONS. THE EXACT REASON FOR REPORTED ISSUE COULD NOT BE ESTABLISHED.
Description of Event or Problem · 0
SURGERY WAS COMPLETED AS USUAL BUT POST-OPERATION WAS NOT AS EXPECTED. THE PATIENT HAS A CLASS 2 OCCLUSION INSTEAD OF PLANNED CLASS 1 OCCLUSION. REDO SURGERY NEEDED TO CORRECT OCCLUSION.
Description of Event or Problem · 0
SURGERY WAS COMPLETED AS USUAL BUT POST-OP WAS NOT AS EXPECTED. THE PATIENT HAS A CLASS 2 OCCLUSION INSTEAD OF PLANNED CLASS 1 OCCLUSION. REDO SURGERY NEEDED TO CORRECT OCCLUSION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 168199 | TRUMATCH CMF | TRUMATCH ORTHOGNATHIC - FULL BIMAXILLARY SURGICAL KIT | JEY | MATERIALISE USA, LLC. | SD980.001 | MU25UGAVIP | 05420060380013 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Other |